ATI LPN
PN Pediatric Nursing 2023 70 Questions Questions
Question 1 of 9
A 4-year-old girl presents with fever and conjunctivitis. Exam shows a polymorphous rash and swollen hands. Most likely diagnosis is:
Correct Answer: B
Rationale: Kawasaki disease includes fever, conjunctivitis, rash, and hand swelling, per AHA. A, C-E lack this combination.
Question 2 of 9
A child is admitted in a pediatric intensive care unit (PICU) after a motor vehicle accident. The mother is acting very hostile towards the PICU staff. The appropriate way to handle the situation is:
Correct Answer: D
Rationale: Counseling addresses the mother’s distress, improving cooperation while prioritizing care (AAP). Options A-D avoid or worsen the situation.
Question 3 of 9
The nurse’s initial action when caring for an infant with a slightly decreased temperature is to
Correct Answer: B
Rationale: Placing a cap and skin-to-skin contact B prevent further heat loss, per document p5, 8.
Question 4 of 9
A neonate with jaundice under phototherapy requires
Correct Answer: D
Rationale: All *E* are essential for phototherapy care, per document p21, 0.
Question 5 of 9
The most important nursing action for a tracheostomy is
Correct Answer: D
Rationale: All D ensure tracheostomy care, per document p41, 6.
Question 6 of 9
A 6-year-old boy appears with fatigue, weight loss, and hyperpigmentation. Labs reveal hyponatremia and hyperkalemia. Most likely diagnosis is:
Correct Answer: B
Rationale: Addison disease fits fatigue, hyperpigmentation, and electrolyte abnormalities, per AAP (doc p150, Q588).
Question 7 of 9
A child with type 1 diabetes received her insulin at 7:30 AM. At 10:30, she is complaining of being hungry, thirsty and drowsy. Which intervention should the nurse perform first? Select one that apply:
Correct Answer: A
Rationale: Hypoglycemia (hunger, thirst, drowsiness post-insulin) requires testing blood sugar (A) and giving juice (B) to raise glucose. Napping (C) or walking (D) delays treatment. Document: 'The immediate remedy is to give orange juice… Test her blood sugar and follow sliding scale.'
Question 8 of 9
A 4-year-old girl presents with fever and conjunctivitis. Exam shows a polymorphous rash and swollen hands. Most likely diagnosis is:
Correct Answer: B
Rationale: Kawasaki disease includes fever, conjunctivitis, rash, and hand swelling, per AHA. A, C-E lack this combination.
Question 9 of 9
When assessing a child admitted to the hospital for gastroenteritis, the nurse notices that the child has no tears when crying. What should the nurse be concerned about?
Correct Answer: D
Rationale: No tears when crying is a classic sign of dehydration , common in gastroenteritis due to fluid loss from vomiting and diarrhea. Delayed development , C. diff , and pyloric stenosis do not directly cause this symptom.